Individual provider Active NPI

Alexis Hofstetter, PA-C

  • Physician Assistant
  • Madison, WI
National Provider Identifier
1831974492
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
759323 Issued in WI
Practice address
6515 Grand Teton PLZ Ste 220
Madison, WI 53719-1048
Phone
(608) 713-9898
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 759323 WI Primary

Addresses

Primary practice location

6515 Grand Teton PLZ Ste 220
Madison, WI 53719-1048

Mailing address

6408 Bridge Rd Apt 567
Monona, WI 53713-1833
Phone (608) 692-7059

Other practice location 1

5100 Eastpark Blvd
Madison, WI 53718-2149
Phone (608) 713-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205000183 WI Practitioner - Physician Assistant 7012365869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Collaborative Solutions in Psychiatry, SCGroup PAC ID 6103131776, 8 clinicians

Practice addresses (Care Compare)

6515 Grand Teton PLZ
Suite 220
Madison, WI 53719-1048

7818 Big Sky Dr
Madison, WI 53719-2840
Phone (608) 713-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
759323WIMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1831974492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 BRIDGE RD APT 567",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131833",
            "telephone_number": "608-692-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 GRAND TETON PLZ STE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191048",
            "telephone_number": "608-713-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Eastpark Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537182149",
            "country_code": "US",
            "telephone_number": "608-713-9898",
            "fax_number": "608-713-9647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFSTETTER",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "759323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.